Remove 2005 Remove Dehydration Remove Seizures
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EM@3AM: Hyperthermia

EMDocs

As you attempt to examine the patient, he has a generalized, tonic-clonic seizure. 2005 Oct 5;9(5):R498-501. The patient is agitated, not oriented, and becoming combative with ED staff. A 12-lead EKG shows sinus tachycardia but is otherwise normal. What is your diagnosis, and what are your next steps in evaluation and management?

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Cholera: ED presentation, evaluation, and management

EMDocs

As the disease progress the patients will experience profound dehydration and start to develops signs and symptoms such as: Rapid heart rate Loss of skin elasticity Dry mucous membranes Low blood pressure If left untreated, severe dehydration may lead to kidney failure, shock, coma, and death within hours.

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Pediatric Diarrhea with Dr. Jay Larmon

Downeast Emergency Medicine

Illustrated below is a dehydration scale from Pediatric Dehydration to help guide management (Vega et al).[1,7] 1,7] From Vega RM, Avner JR: A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children. Look for red flags of severe dehydration (i.e.

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Pain Management of Common Chief Complaints in the ED

EMDocs

Headache red-flag characteristics include neurological symptoms, thunderclap nature, syncope, trauma, immunocompromised, coagulopathy, fever, rash, seizure, nuchal rigidity, altered mental status, pregnancy, temporal tenderness, jaw claudication, and cancer history. 2005 Jul-Aug 2005;12(4):311-9. Jan 23 2008;(1):CD000396. Am J Hematol.

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

First: Are you sure it was syncope, and not SEIZURE? Conversely , frequently syncope has a short episode of tonic-clonic activity that mimics seizure. Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Vasovagal syncope is generally benign.